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CN1132065A - Enhanced visualization of latching mechanism of latching surgical device - Google Patents

Enhanced visualization of latching mechanism of latching surgical device Download PDF

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Publication number
CN1132065A
CN1132065A CN95121778A CN95121778A CN1132065A CN 1132065 A CN1132065 A CN 1132065A CN 95121778 A CN95121778 A CN 95121778A CN 95121778 A CN95121778 A CN 95121778A CN 1132065 A CN1132065 A CN 1132065A
Authority
CN
China
Prior art keywords
securing member
keeper
surgical device
pallet
far
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN95121778A
Other languages
Chinese (zh)
Inventor
D·D·贾米奥考斯基
L·汉密尔顿
R·史密夫
R·F·本辛尼
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Johnson and Johnson Medical SAS
Ethicon Inc
Original Assignee
Ethicon SAS
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon SAS filed Critical Ethicon SAS
Publication of CN1132065A publication Critical patent/CN1132065A/en
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

A surgical device having a latching mechanism comprising a latch member; and a retaining member having at least one aperture adapted to receive and retain said latch member in a locked position, said latch member and said retaining member being of contrasting colors so that when the latch member is locked in place by the retaining member that the latch member's presence in the locked position is externally visible.

Description

Strengthen the sight check of the retention mechanism of surgery clamp device
The present invention relates to technical field of surgical instrument, particularly relate to and have retention mechanism, as surgery staple and receptor, the surgical device of ligation clip and analog.
The surgical device that is made of one or two part is being well-known in the art.The example of surgical device (as the surgical fixation device) illustrates 4,402,445 in following United States Patent (USP); 4,506,670; 4,513,746; 4,534,352; 4,610,250; 4,667,674 and 4,932,960, above-mentioned all these patents are introduced as a reference at this.Typically, these surgical devices comprise two parts being made by one or more absorbable materials.This device is made up of at least one securing member (being staple or holder) and a keeper usually.Securing member generally on one or more positions piercing tissue and the town tightly in keeper.
In surgical operation, whether the surgeon who applies surgical device with mechanical applicator does not have a kind of easy method decision securing member to be locked in the keeper usually.At present, the surgeon must fiddle with the loosening or not fastening staple of tissue examination, and this is a step consuming time.In addition, in this step, fiddle with the danger that tissue is easy to cause more tissue injurys and increases postoperative infection.Therefore, need a kind of surgical device, so that make the surgeon can determine soon whether surgical device is fixed.
Therefore, the object of the present invention is to provide a kind of surgical device, this device makes the surgeon can determine at an easy rate that whether surgical device is fixed, and reduces the required time of surgical procedures thus.Another object of the present invention is to provide a kind of surgical device, to reduce the amount of fiddling with tissue in the surgery operating process, thus, reduces the danger of tissue injury and postoperative infection.This and other purpose of the present invention and advantage are by following explanation of the present invention, and this professional those of ordinary skill will be clear.
Have been found that the surgical device with a retention mechanism, this mechanism comprises a securing member; With one have a keeper that is suitable for admitting and keeps said securing member when the locked position at least, said securing member and keeper have the correlated color of formation, thereby fastening when in place by keeper when securing member, i.e. the existence of the securing member when restraint location is visible.
Fig. 1 is the perspective view of securing member and keeper;
Fig. 2 is the profile of securing member shown in Figure 1 and keeper;
Fig. 3 is the perspective view of ligation clip;
Fig. 4 is that the ligation clip of Fig. 3 is fastened to the perspective view on the blood vessel.
Fig. 1 is extremely shown in Figure 4 to be the surgery clamp device of polymeric material of the present invention.Clamp device illustrated in figures 1 and 2 comprises a keeper 104 and securing member 101, the latter have a bottom 116 and 102, two pallets 102 of at least two pallets be actually parallel and substantially perpendicularly from the bottom the same side of 116 extend.Pallet 102 is connected on the bottom 116 in the end near bottom 116 usually.If be equipped with on bottom 116 more than two pallets, so, 116 length are spaced these pallets along the bottom.Pallet 102 has the barb 105 that is connected on the soma 106.Barb 105 is at least on a side of barb 105, and is tapered to its top 108 from its bottom 110.The bottom 110 of barb 105 is wideer than soma 106.The bottom 110 of this barb is connected on the soma 106, near the barb surfaces 112 of being furnished with an internal lock bottom 110 of barb 105 and soma 106 junctions.
When surgery uses, connected tissue positioned between keeper 104 and securing member 101.Two pallets 102 of securing member 101 hammer in the hole 103 of keeper 104 by organizing (not shown).Pallet 102 is deviation when they pass hole 103, but superimposed and when meshing when internal lock barb surfaces 112 and locking surface 114, pallet 102 is returned to original orientation.The engagement of the internal lock barb surfaces 112 of securing member 101 and the locking surface 114 of keeper 104 makes at two parts on the locked position and is clipped in fixation of tissue in place between two parts 101 and 104 together.
Fig. 3 and shown in Figure 4 be a kind of ligation clip, it is second embodiment of the present invention.Ligation clip comprises a securing member 212 and a keeper 214, and they connect with the proximal end of an elasticity hinge portion 216 at them.Being furnished with one at the far-end 212b of securing member 212 and keeper 214 and 214b is used for around the make position locking member 212 of tissue (as blood vessel 220) and 214 retention mechanism, just as shown in Figure 4.In an illustrated embodiment, retention mechanism comprises the pallet 202 that is received in the keeper 244 that is positioned at keeper 214 far-end 214b with being suitable for locking.Pallet 202 comprises a barb 205 that is connected on the soma 206.There is any sharp limit 208a who organizes (not shown) that centers on blood vessel with puncture on top 208.Barb 205 is 208 210 tapered to the bottom from the top.The bottom of barb 210 is wideer than soma 206.The bottom 210 of barb is connected on the soma 206.Bottom 210 and soma 206 junctions near pallet 205 are furnished with an internal lock barb surfaces 211.Keeper 244 has the hole 203 and the locking surface 234 that is suitable for meshing internal lock barb surfaces 211 that are suitable for admitting pallet 202, so that keep ligation clip on closure or locked position.The inspection socket 230 of the far-end of keeper 214 is furnished with one and is used for visual examination pallet 202 and whether is locked at the device of protecting in the special device 244.
First and second horizontal expansions part 224a and 22b and securing member 212 are integrally formed, and third and fourth horizontal expansion part 224C stretches out from the relative wide wall of keeper 214 with 224d, and are suitable for accepting clamped closed power.The power that is applied to horizontal expansion part 224a-224d can be moved the far-end 212b of part 212 and 214 and 214b toward each other.The top 208 of securing member 202 is passed and is organized (not shown) to hammer in the hole 203 of keeper 244.Pallet 202 is when its deflection when the hole 203, but superimposed and when meshing when internal lock barb surfaces 211 and locking surface 234, pallet 202 is returned to its original orientation basically.The engagement of the interior locking barb surfaces 211 of securing member 202 and the locking surface 234 of keeper 244 makes on locked position two parts and be clipped in two parts 212 and be in the same place with 214 fixation of tissue in place.Simultaneously, as shown in Figure 4, blood vessel 220 is engaged on therebetween.
Can determine the surgery clamp device whether on locked position for the ease of the surgeon, a part of pallet, that is barb (105,205), when compare time that is locking face (114 with a part of keeper, 234) and/or hole (103,203) should have and form correlated color.Whole securing member (102,212) also can the correlated color of tangible one-tenth, locks visuality in the keeper (104,214) so that improve securing member.As shown in FIG. 4, the inspection socket 230 that is provided makes can prove that it is on locked position by the visual examination ligation clip.Inspection socket can comprise opening or in fact transparent eyesight.
Form correlated color and preferably should be easy to show with respect to the blood thin film, it is dark-coloured that one of preferred color should be, and another color is bright.Forming correlated color can use, and produces as dyestuff or pigment.Coloring agent can be added to the polymeric material that is used for making securing member or keeper.Coloring agent also can be used as a kind of outer coating and applies.Suitable coloring agent is listed in the U.S.'s coloring agent handbook second edition that is used for food, medicine and cosmetics by Daniel M.Marmion, and this handbook is introduced normally used coloring agent as a reference at this and comprised: D﹠amp; The purple NO.2 of C, D﹠amp; The green NO.6 of C, D﹠amp; The green NO.5 of C, D﹠amp; The blue NO.6 of C, [[phthalocyanine] (2-)] copper and black brazilwood dye.In addition, when surgical device is when being made by polymeric material, forming correlated color can possess its original color by making a part, " undyed " (promptly white is to gold) and make another part with painted generation of the correlated coloring agent of suitable formation.The correlated color of existing preferred formation includes but not limited to choose from following this group; Be unstained/green, be unstained/purple, be unstained/orchid, be unstained/deceive, green/black, green/purple, green/blue and blue black.
Surgical device of the present invention can be used biocompatible metals, or biological absorbable or non-absorbent polymeric material is made.Preferred absorbable polymer comprises: poly-(P-diethyleno dioxide ketone, poly-(Acetic acid, hydroxy-, bimol. cyclic ester), poly-(lactide), poly-(caprolactone), poly-(hydroxy butyrate), poly-(hydroxyl base valeral ester), poly-(acid anhydride), their copolymer and their admixture.Preferred non-absorbing polymeric comprises: nylon, polyester and polypropylene.Surgical device can be molded or machine-processed by these biomaterials.
Surgical device of the present invention can be with many mechanical applicator dispensings, for (described in the publication number 609612, the document is introduced as a reference at this at european patent application 93308924.5.

Claims (10)

1. surgical device with retention mechanism comprises:
Securing member and one have a keeper that is suitable for admitting and keeping at locked position the hole of said securing member at least, the some of said securing member and the some of said keeper to form correlated color, therefore, when securing member is locked when in place by keeper, be visible from the outside in the existence of the securing member of locked position.
2. according to the described surgical device of claim 1, wherein surgical device is that polymeric material constitutes.
3. according to the described surgical device of claim 2, wherein form correlated color and choose from following this group, this group comprises: be unstained/green, be unstained/purple, be unstained/orchid, be unstained/deceive, and green/black, green/purple, green/blue and blue black.
4. according to the described surgical device of claim 3, wherein surgical device has at least a coloring agent that is added in the polymeric material, forms correlated color so that provide.
5. according to the described surgical device of claim 4, wherein securing member has the barb on band edge top, and keeper has a hole and locking surface.
6. according to the described surgical device of claim 5, wherein in the vertical polymeric material of some, contain coloring agent at least.
7. surgical device with retention mechanism comprises:
The securing member that bottom with two ends and at least two are substantially parallel from the pallet that extends perpendicular to this bottom, each pallet has the barb that is connected on the soma, and said soma is connected on the above-mentioned bottom;
One has two keepers that are suitable for admitting and keeping the hole of said two pallets on locked position;
Wherein the part of the some of said securing member and said keeper to form correlated color, thus, when securing member is locked when in place by keeper, is visible from the outside in the existence of the securing member of locked position.
8. surgical device with clamp device comprises:
Ligation clip and a keeper with near-end and far-end with a securing member;
The elastic hinge that said securing member and keeper are connected at their near-end;
Pallet with the barb that is connected to the soma on the securing member far-end;
One has the keeper that is suitable for admitting in make position at the far-end of keeper the hole of pallet and locking ligation clip;
At the far-end that is positioned at keeper a mouth is arranged, this mouthful makes it possible to the engagement situation visual examination to securing member and keeper;
Wherein the some of the some of said securing member and keeper is by to form correlated color, thus, when securing member is locked when in place by keeper, is visible from the outside in the existence of the securing member of locked position.
9. surgical device comprises:
One is used at least one surgery staple with a retention mechanism is applied in tissue so that connect and near the device of edge of wound;
This surgery staple has a securing member and a keeper, securing member has one two ends and at least two virtually parallel vertically extending pallets of substantially the same direction from the bottom is arranged, each pallet has a barb that is connected on the soma, said soma is connected near on the bottom of an end, and a keeper has two holes that are suitable for admitting and keeping said two pallets on locked position; Wherein the some of the some of said securing member and said keeper is by to form correlated color, thus, when securing member is locked when in place by keeper, is visible from the outside in the existence of the securing member of locked position.
10. surgical device comprises:
A device that is used at least one ligation clip is applied to tissue;
Ligation clip has a securing member and has near-end and far-end and keeper, the elastic hinge that said securing member and keeper are coupled together at their near-end, one has the pallet that is connected to a barb on the soma, this soma is connected to the far-end of above-mentioned securing member, one has in make position at the keeper far-end and to be suitable for admitting pallet and the hole of locking ligation clip and the keeper of locking surface, with a mouth that is positioned at the keeper far-end, so that the engagement situation of energy visual examination securing member and keeper; Wherein the some of the some of said securing member and keeper to form correlated color, thus, when securing member is locked when in place by keeper, is visible from the outside in the existence of the securing member of locked position.
CN95121778A 1994-12-02 1995-12-01 Enhanced visualization of latching mechanism of latching surgical device Pending CN1132065A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US348,699 1994-12-02
US08/348,699 US6206897B1 (en) 1994-12-02 1994-12-02 Enhanced visualization of the latching mechanism of latching surgical devices

Publications (1)

Publication Number Publication Date
CN1132065A true CN1132065A (en) 1996-10-02

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN95121778A Pending CN1132065A (en) 1994-12-02 1995-12-01 Enhanced visualization of latching mechanism of latching surgical device

Country Status (9)

Country Link
US (1) US6206897B1 (en)
EP (1) EP0714633B1 (en)
JP (1) JPH08215201A (en)
CN (1) CN1132065A (en)
AU (1) AU3903095A (en)
BR (1) BR9505605A (en)
CA (1) CA2164181A1 (en)
DE (1) DE69515423T2 (en)
ZA (1) ZA9510240B (en)

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AU3903095A (en) 1996-06-13
BR9505605A (en) 1997-11-04
ZA9510240B (en) 1997-06-02
JPH08215201A (en) 1996-08-27
EP0714633A1 (en) 1996-06-05
DE69515423D1 (en) 2000-04-13
US6206897B1 (en) 2001-03-27
EP0714633B1 (en) 2000-03-08
DE69515423T2 (en) 2000-07-20
CA2164181A1 (en) 1996-06-03

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